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Aid Request Form

By btiptonNo Comments

Today's Date*
MM slash DD slash YYYY
Name*
First Last
Phone*
Email*
Current Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Do you...*
- Own
- Rent
- Other
Age*
Employer*
Current Status*
- Single
- Married
- Divorced
- Separated
- Widowed
Spouse's Name*
First Last
Spouse's Employer*
Children's Names and Ages*
Needs*
- Food
- Clothing
- Shelter
- Rent/Mortgage
- Utilities
- Other
If "other," explain...*
Deadline Needed by...*
MM slash DD slash YYYY
Amount Needed...*
Have you been previously helped by Christ Fellowship?*
- Yes
- No
What did you receive? When?*
Please list any other sources for which you have applied to for this need?*
Please detail the circumstances which brought about this need.*
Monthly Income Amount*
Monthly Income Sources*
Monthly Average Expenses Total. Please also detail monthly average costs in the spaces below.*
Rent/Mortage*
Auto*
Electric*
Water*
Phone*
Medical*
Fuel*
Cable*
Other Monthly Expense. Please explain...*
Are you requesting assistance with mortgage, rent, or utility payment?*
- Yes
- No
Company Name
Company Phone*
Company Contact Person
First Last
Company Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Account Number*
Total Due*
Amount Required*
Upload CLEAR photos or PDFs of any relevant documentation - including bills or expenses for which you are requesting assistance.*
Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 200 MB, Max. files: 5.
List other sources willing to assist you with this need - include Name, Phone Number, and the Amount of assistance.*
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Main Service
Sunday, 9:00am & 11:00am

PRAYERROOM
Mondays & Wednesdays 7:00pm-8:30pm
Midday Wednesdays 11:00am-12:00pm

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applemusic

I’m New
Students
Connect
Community
- ReStory Business
- Model City Trail
Events
Messages
PRAYERROOM
- PRAYERROOM
- Healing Room
Intensives
- CF Ascend Discipleship Program
- CF Export Intensive
Give

Worship Times

Main Service
Sunday, 9:00am & 11:00am
PRAYERROOM
Monday & Wednesday, 7:00-8:30pm

Midday Wednesday, 11:00am-12:00pm

facebook
youtube
instagram
spotify
applemusic